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1699832113
MAYNARD VILLAVICENCIO UTAYDE
MISHAWAKA, IN
NPI
1699832113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: IN 05005198A)
Enumeration Date
2007-01-03
Last Update Date
2016-07-17
Business Address
Mr. MAYNARD VILLAVICENCIO UTAYDE PT
1409 E DAY RD
MISHAWAKA, IN 46545-3671
Phone number: 574-257-9880
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Mailing Address
Mr. MAYNARD VILLAVICENCIO UTAYDE PT
51470 NORWICH DR
GRANGER, IN 46530-8426
Phone number: 574-257-9880
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